Evidence map›Paper›PMID 34169960›Full record

ArticleFamily practice2021

'I was scared I will end up in another abortion': a mixed-methods study assessing the impact of COVID-19 pandemic and lockdown on the antenatal care of pregnant women in Puducherry, South India.

Revathi Ulaganeethi, Gowri Dorairajan, Gomathi Ramaswamy, Pruthu Thekkur, Jeby Jose Olickal, Nonika Rajkumari, Ganesh Kumar Saya

Open access · bronzeAbstract read
In one paragraph

Article in Family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Maternal Healthcare Services in a Rural Area of Haryana during the COVID-19 Pandemic: A Community-Based Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Revathi UlaganeethiDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.ORCID 0000-0003-2696-2390
Gowri DorairajanDepartment of Obstetrics and Gynaecology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Gomathi RamaswamyDepartment of Preventive and Social Medicine, All India Institute of medical Sciences, Bibinagar, Hyderabad, India.
Pruthu ThekkurCentre for Operational Research, International Union Against Tuberculosis and Lung Disease, Paris, France.
Jeby Jose OlickalDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.ORCID 0000-0002-0298-5363
Nonika RajkumariDepartment of Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Ganesh Kumar SayaDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.ORCID 0000-0002-1495-9461
Jawaharlal Institute of Post Graduate Medical Education and Research · INAll India Institute of Medical Sciences · INInternational Union Against Tuberculosis and Lung Disease · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs a mitigation measure for COVID-19 pandemic, lockdown was implemented in India for a period of 2 months (24 March-31 May 2020). Disruption in antenatal care (ANC) provisions during lockdown is expected due to diversion of public health facilities on pandemic.

objectiveTo assess the proportion of pregnant women who had not completed the ideal number of antenatal visits, availability of iron-folic acid (IFA) supplements and challenges in availing health services during the period of lockdown.

methodsA concurrent mixed-methods study was conducted among pregnant women in Puducherry, India. Information on obstetric characteristics and details regarding antenatal visits were collected through telephonic interviews. In-depth interviews were conducted to understand the perceived challenges in availing health services during the lockdown period.

resultsOut of 150 pregnant women, 62 [41.3%; 95% confidence interval (CI) 33.6-49.3] did not complete the ideal number of visits and 61 (40.7%, 95% CI 32.7-49.0) developed health problems. Out of 44 women who received medical care for health problems, 11 (25%) used teleconsultation. Of all the women, 13 (8.7%, 95% CI 4.9-14.0) had not taken the IFA supplements as prescribed by the health provider. Economic hardship, restricted mobility, lack of information about the health system changes and psychological stress due to the fear of COVID were the challenges in accessing care.

conclusionsTwo out of five pregnant women did not complete the ideal number of visits and developed health problems during the lockdown period.

Indexed as

Abortion, SpontaneousAdultAnxietyAttitude to HealthCOVID-19Cross-Sectional StudiesFacilities and Services UtilizationFemaleHealth Services AccessibilityHumansIndiaInterviews as TopicPregnancyPregnancy ComplicationsPregnant PeoplePrenatal CareAntenatal careCOVIDlockdownmaternal healthproblems during pregnancyteleconsultation

Identifiers

PMID34169960
PMCPMC8344696
OpenAlexW3175864350

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.